Organization · Type 2 NPI
Lakeside Medical Wellness Clinic
Clinic/Center · Sulphur, LA
NPI number
1407147234
Active
Practice location
1908 Maplewood Dr, Suite B
Sulphur, LA 70663-6000
Fax (337) 625-6726
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | MD14484R (LA) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
Other clinic/center providers in Sulphur
About NPI 1407147234
Lakeside Medical Wellness Clinic's National Provider Identifier is 1407147234, issued on Apr 27, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Sulphur, LA. The record was last updated on Apr 27, 2011.